Individual
AMANDA E NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 4TH ST APT 100, DOVER, NH 03820-3095
(512) 293-8347
Mailing address
499 PROSPECT ST, ROLLINSFORD, NH 03869-5612
(512) 293-8347
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
064024-23
NH
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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